What is cervical vertigo? The words “spinning in the sky”, “dizziness”, “nausea and vomiting”, etc. are more and more frequently heard from patients in clinical work, and the number of people complaining is gradually increasing. The age of the patients is also gradually becoming younger. “At the beginning, it was just a little dizzy, did not care, then gradually developed to severe dizziness, can not turn over and turn the neck, poor mental health, poor sleep, and even nausea and vomiting when serious, saw many hospitals, neurology, ophthalmology, cranial CT, MRI, vestibular function are no problem, also took a lot of drugs, is dizzy, can not get better, take some time off to rest will The first time I worked, it was significantly worse, which seriously affected my daily life and work.” In the outpatient clinic, we often hear such painful descriptions from patients. In the face of these patients, you will find that most of them look very bad, they do not panic, they seem to speak and act carefully all the time, they are very fragile psychologically and lack self-confidence, because they have done too many tests and too many treatments in various hospitals and departments, but the symptoms of dizziness do not get better, so they always think that there is no cure for this disease. Many people think that vertigo is only related to the eyes, ears and cranium, but they don’t know that a lot of vertigo is due to misalignment of the first and second cervical joints (atlantoaxial joints), or even related to proprioceptive disorders of the posterior cervical muscle groups. It is not difficult to look at their medical records and see that they are not only careful in their examinations, but also in their diagnoses and treatments, but in any case they ignore the cervical spine. If you tell them this, they may even look at you with disdain. It is also true that in traditional clinical medical education, vertigo is divided into true vertigo and pseudo vertigo according to its nature, and systemic vertigo and non-systemic vertigo according to the location of the lesion, with the former being divided into central vertigo and peripheral vertigo, which are mostly vestibular system lesions, and the latter mainly including eye diseases, hypertension, anemia, heart disease, moderate and neurological disorders, etc. There is no mention of cervical spine disease as a cause of vertigo. There is no mention of cervical spondylosis as a cause of vertigo, so their specialist diagnosis is nothing but “Meniere’s disease”, “vestibular lesion”, “cerebrovascular lesion”, etc. No doctor would ever No doctor would ever diagnose “cervical spondylosis” or “cervical vertigo”. Of course, as the clinical efficacy of manipulative doctors in treating these “cervical vertigo” has improved significantly, doctors in various hospitals, especially in Chinese medicine hospitals, who are unable to do anything about these vertigo, will reluctantly refer their patients to the Department of Tui-Na to try and see them, or to seek treatment from specialized manipulative doctors. The so-called “cervical vertigo” must be closely related to the cervical spine, and without the discomfort and abnormality of the cervical spine, there is no such thing as cervical vertigo. history of chronic neck pain or traumatic disease of the cervical spine. The vertigo can be chronic and persistent, or it can be episodic and severe. They often feel depressed, weak and drowsy, nausea and vomiting, tinnitus and deafness, and loss of vision. It is often accompanied by neck i pain, stiffness, headache and other symptoms. On examination, it was found that the patient had significant tension in the posterior cervical musculature to the back of the scapula, significant striated tendon joints, reduced cervical spine mobility, and misalignment of various joints in the cervical spine. Cervical spine X-ray examination reveals changes in the physiological curvature of the cervical spine, narrowing of the intervertebral space, marked osteophytes, narrowing of the intervertebral foramen, and marked asymmetry of the atlantoaxial joint. Further examination will reveal obstruction of vertebral artery blood flow and disc herniation. Clinical analysis of the causes of “cervical vertigo” can be attributed to cervical joint hyperplasia, misalignment or even disc herniation caused by long-term low work, chronic strain or acute injury, resulting in sympathetic nerve disorder, vertebral artery compression or spasm, and proprioceptive disorders of the posterior cervical muscles, leading to various vertigo symptoms. The vertigo caused by the compression of vertebral artery is also clinically classified as vertebral artery type cervical spondylosis, which is characterized by episodes of severe vertigo with sudden falls; the onset and relief of vertigo are often related to the neck position, and it is easy to aggravate the vertigo when the head is suddenly turned and posteriorly extended, and the vertigo can be reduced after restoring the neutral position. On cervical spine X-ray, cervical 2 and cervical 3 atlantoaxial joint misalignments are mostly found, or in cervical 5 and cervical 6 hooked osteophytes protrude into the vertebral artery foramen and compress the vertebral artery. Vertigo due to sympathetic nerve disorder is characterized by chronic vertigo, and the onset and aggravation of vertigo are not related to head and neck posture; the face is pale and obscure, and the tongue is purple and dark. The skin of the occipital and parietal parts of the skull can be thickened with edema of different degrees, which is a manifestation of vasomotor dysfunction. Cranial ultrasonography (TCD) suggests spasm of the internal carotid artery system and/or vertebral artery system. Vertigo due to proprioceptive disorders of the posterior cervical musculature is more common in chronic moderate vertigo. The vertigo is aggravated in the low head position or extreme posterior extension position and may be reduced in the neutral position. The suboccipital muscle group is often tense, and moderate pressure on the suboccipital muscle group can significantly relieve vertigo; sometimes signs of upper cervical dislocation can be seen. It is often accompanied by palpitations and insomnia, depression and anxiety, headache and other neurosis, and patients are often overly sensitive to changes in their physical condition. How to prevent cervical vertigo? 1.Reclining position, right side lying is appropriate, the softness and height of the pillow should be suitable to maintain the inherent position of the neck. When lying on your back, the pillow should be placed between your head and shoulders, so that the physiological convexity of the cervical vertebrae and the depression between the bed surface can be filled. 2.Sitting posture, the hips should fully touch the chair surface, the waist straight, shoulders back, so that the head, neck, shoulders and chest maintain a slightly taut normal physiological curve. Try to draw closer to the distance from the workbench, the height of the table and chair to the most appropriate position with their height, in order to reduce the fatigue caused by prolonged sitting. 3, if your work requires long periods of ambulation, concentration or neck and back to remain motionless, you should always be alert to the occurrence of the disease. Work intervals, it is best to move the neck often, every hour or so should stand up and walk around, do a stretching exercise, you can also do “back fly” exercise at home. This can make the head, neck, shoulders and back tension muscles can be restored to avoid the onset of disease. Students should develop a good learning posture from childhood. 4. In cold weather, you should pay attention to keep your neck warm, especially for middle-aged and old people, because cold and flu are also one of the factors that cause vascular and muscular contraction and stiffness in the neck and induce vertigo. When it’s hot and there is air conditioning indoors, you should be especially careful of the cold air on the cervical spine, if necessary, you can put a beautiful silk scarf around your neck. 5.Avoid trauma. If you accidentally fall backwards, or suddenly sprain your neck, go to the hospital in time for an examination. The most easily neglected trauma is the neck problem caused by car tailgating. Quite a few patients do not care about it at first because there is no obvious trauma, but they do not know that the cervical spine has been damaged, laying hidden dangers for cervical vertigo or even more serious diseases. 6. It is also important to ensure sufficient sleep time and quality every day. Insomnia, neurasthenia or other neurological diseases, as well as cardiovascular problems, may also induce cervical vertigo.